Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $458.29 / $618.12	Professional		$285.50	$458.29	$618.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $178.00 / $273.88	Professional		$150.00	$178.00	$273.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $313.73 / $341.95	Professional		$75.39	$313.73	$341.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $128.16 / $257.95	Facility		$54.39	$128.16	$257.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.13 / $323.50 / $323.50	Facility		$301.13	$323.50	$323.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $222.43 / $302.39	Professional		$75.34	$222.43	$302.39